tavr bicuspid aortic valveopen heart surgery for aortic stenosisaortic stenosis valve replacementtavr for aortic regurgitationclinical signs of aortic stenosisaortic valvular stenosisaortic stenosis guidelinesaortic stenosis classificationaortic stenosis medicationdiagnosis aortic stenosishow to diagnose aortic stenosistreating aortic stenosis